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Sr. Clinician, Risk Management Analyst
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Sr. Clinician, Risk Management Analyst

Job Description

Sr. Clinician, Risk Management Analyst (RN or LSW/LCSW) Chicago Loop location

Our Client, a multibillion-dollar LTC/HH insurer that is located in the Chicago Loop polished professional (RN or Social Worker) is seeking a Senior Clinician, Risk Management Analyst.  This position is responsible for identification and implementation of health and wellness program initiatives for (Long Term Care) in order to improve the health and well-being of our Policyholders as well as reduce the risk of current and future claim activity. The Senior Risk Management Analyst analyzes data in order to project upcoming trends in claim activity. Responsible for identifying and mitigating risk associated with claim decisions and legal cases within the LTC Claim Department through the assessment, planning, implementation and evaluation of work processes and procedures. Includes the promotion of higher learning for Claims Department associates and the ability to build strong relationships across business lines as well as a strong ability to work autonomously within project deadlines.  Measures of success will include: meeting project deadlines with high quality results, post-training, post-implementation performance impact results and any other applicable metrics for this role. The Risk Management team will hold BLC LTC enterprise-wide responsibility for the integrity of technical and clinical practice and protocols. This position is a key role in mitigating unwarranted liability and risk as well as contributing to the ongoing assessment of the strength of the LTC claim management program.

Requirements

Bachelor’s degree, Masters preferred; RN or (LSW, LCSW)
3 to 5 years’ experience as a Clinician or consumer relations with insurance claims regulations
Previous experience with legal counsel and/or DOI representatives, depositions

If you or anyone you know is interested, available and qualified please have them email a MS Word version of their resume to [Click Here to Email Your Resumé]

Job Requirements

See job description

Job Snapshot

Employment Type Full-Time
Job Type Health Care, Insurance, Nurse
Education 4 Year Degree
Experience At least 3 year(s)
Manages Others No
Relocation No
Industry Healthcare - Health Services, Managed Care, Other Great Industries
Required Travel None
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Sr. Clinician, Risk Management Analyst


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